Individual provider Active NPI

Ryan Ford Stevenson, PHD, MSW

  • Psychologist
  • San Marcos, CA
National Provider Identifier
1083021232
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
27441 Issued in CA
Practice address
2370 Sentinel LN
San Marcos, CA 92078-2135
Phone
(801) 367-2488
NPI assigned
Jul 21, 2014
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6634020-3501 UT
Psychologist 103T00000X 27441 CA Primary

Addresses

Primary practice location

2370 Sentinel LN
San Marcos, CA 92078-2135

Mailing address

333 S Twin Oaks Valley Rd
San Marcos, CA 92096-0001
Phone (760) 750-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6634020-3501UTMDClinical Social Worker
27441CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cal State San Marcos Student Health & Counseling Services PastSince May 4, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1083021232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "760-750-4915",
            "fax_number": "760-750-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 SENTINEL LN",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782135",
            "telephone_number": "801-367-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "RYAN",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6634020-3501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.